Combination resuscitating, aspirating and gastric draining apparatus

ABSTRACT

This invention is a combination resuscitating, aspirating and gastric draining apparatus of unitary construction which includes a tubular body, a portion of which is adapted for insertion into the mouth. A resuscitating supply source is detachably engaged with the tubular body. Nasal pharyngeal catheter tubes extend transversely through the tubular body for insertion into the nostrils for gastric draining. An oropharyngeal catheter tube extends longitudinally through the tubular body, for insertion down the throat. An aspirating source is operatively engaged with the nasal pharyngeal and oropharyngeal tubes.

- United States Patent [1 1 Williams 1 COMBINATION RESUSCITATING, ASPIRATING AND GASTRIC DRAINING APPARATUS [76] inventor: Arthur G. Williams, 516 19th Ave.,

[52] US. Cl ..l28/145.5, 128/351 [51] Int. Cl. ..A6lm 16/00 [58] Field of Search ..128/l45.5, 145, 350, 128/351, 276, 277, 278

[56] References Cited UNITED STATES PATENTS 2,705,959 4/1955 Elmore ..128/351 3,175,557 3/1965 Hammond ..128/351 2,912,982 11/1959 Barsky ..l28/351 I 3,502,078 3/1970 Hill et al ..128/278 X 3,508,543 4/1970 Auiicono ..128/l45.5

ASPIRATOR ASPIRATOR [In] -3,73e,179

[451 May 1, 1973 Council 128/277 Schossow ..128/351 This invention is a combination resuscitating, aspirating and gastric draining apparatus of unitary construction which includes a tubular body, a portion of which is adapted for insertion into the mouth. A resuscitating supply source is detachably engaged with the tubular body. Nasal pharyngeal catheter tubes extend transversely through the tubular body for insertion into the nostrils for gastric draining. ,An oropharyngeal catheter tube extends longitudinally through the tubuiar body, for insertion down the throat. An aspirating source is operatively engaged with the nasal pharyngeal and oropharyngeal tubes.

10 Claims, 8 Drawing Figures Patehted May 1 1973 3,730,179

I5 Sheets-Sheet 1 Arfhur G. wil/idms AT TORWEYS INVENTOR.

Patented May 1, 1973 V 3,130,179

3 Sheets-Sheet 2 Fig. 5

INVENTOR.

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ATTORNEYS Patented May 1, 1973 3,730,179

3 Sheets-Sheet 5 ASPIRIYI'OR 8 ASPIRATOR 'INVENTOR. Anhur 6. W/Y/mms Fl 9 8 BY 7 ATTORNEY 1 COMBINATION RESUSCITATING, ASPIRATING AND GASTRIC DRAINING APPARATUS BACKGROUND AND OBJECTS It is conventional practice to employ mechanical apparatus for resuscitating non-breathing victims. This is normally carried out by applying a mask which is connected to an oxygen container. The mask must then be placed upon the face covering the nose and mouth. This method requires the use of both hands in order to effect and maintain an airtight seal around the face mask.

In aspirating a patient, a catheter is normally inserted into the. throat of the patient in order to suction out fluidswhich clog the airway, thereby preventing positive resuscitation.

The resuscitating and aspirating processes are separate and apart from each other, requiring different apparatus, so that only one or the other may be employed at the same time.

This creates problems in actual usage since, if it is found necessary to aspirate a victim during the resuscitation operation, the resuscitation is stopped and the apparatus is replaced by the aspirating apparatus. When the aspirating problem is alleviated, the resuscitation operation is reinitiated. This procedure may be repeated several times, wasting valuable time g and depriving the victim of oxygen at a critical time.

It is an. object of this invention to provide combination resuscitating, aspirating and gastric draining apparatus which is of unitary construction, the resuscitating and aspirating portions thereof being operable either separately or simultaneously as desired.

Another object is to provide a combination resuscitating, aspirating and gastric draining device which is of simple, economic construction and may be readily and quickly applied to a patient by a person having knowledge of resuscitation procedures. The bilateral nasal pharyngeal tubes at the sametime are ready for use by persons having knowledge of gastric drainage procedures.

A further object is to provide apparatus of the character described which permits resuscitating and aspirating functions to be carried out by means of a single device which is applied to the victim, and constantly remains in place while both resuscitating and aspiratmg.

A still further object is to provide a combination apparatus of the character described which includes an elongated body having a longitudinal air passage through which oxygen is passed into the mouth of the person being treated, the apparatus also including tubular members extending transversely through the body and inserted into the nasal pharyngeal tract for aspirating the person, and an aspirating tube extending through the air passage of the body into the oropharyngeal tract.

Other objects will be apparent from the following description of the presently preferred form of the present apparatus, taken in conjunction with the appended drawings.

DESCRIPTION OFFIGURES OF DRAWINGS FIG. 2 is an elevational view of the present apparatus viewed from the direction of line 2-2 of FIG. 1;

FIG. 3 is a sectional view taken along the lines 3 -3 of FIG. 1, looking in the direction of the arrows;

FIG. 4 is a longitudinal sectional view of the apparatus of the present invention;

FIG. 5 is a cross sectional view of the present apparatus taken on line 5-5 of FIG. 4;

FIG. 6 is a side elevational view of a nostril plug forming a part of the present invention;

FIG. 7 is an end elevational view of the nostril FIG. 6, and

FIG. 8 is an elevational view of the present apparatus, illustrating its use.

DETAILED DESCRIPTION OF INVENTION The combined resuscitating and aspirating apparatus of the present invention includes a cylindrical member 10 having an air passage 12 extending therethrough. Adjacent one terminal of cylindrical member 10, there is provided a universal adapter l4-of conventional type in the cylinder wall for attachment to resuscitating apparatus, shown to advantage designated 16.

The opposite terminal of cylindricalmember 10 is provided with a wall 18. A flat arcuate air tube 20 is provided with a flange 21 which is secured to wall 18, wall 18 being provided with a slot, to effect communication of the flattened tube with air passage 12ofcylindrical member 10. At a point adjacent end wall 18, there is provided a lip seal 22 which extends outwardly from theouter periphery of cylindrical member 10, which is adapted for engagement against the teeth of the person beingitreatedwiththe apparatus. The wall of cylindrical member 10 proximate lip seal 22 is formed to provide opposed lip-receiving. concave portions 23, asshown to advantage in FIGS. 1 and 8. At a point adjacent universal adapter 14, cylindrical member 10 is provided: with a socket or protuberance 24 having an orifice 26 which is intcommunication with. air passage 12 of cylindrical member 10. A flexible oropharyngeal. tube 27 is inserted through orifice 26' of socket 24. which tube extends downwardly through cylindrical member 10 and'flattenedtube 20 down the throat of the person being treated; The opposite terplug of minal of the tube 27. is connected to a standard I mechanical aspirator 28. 7

It is a salient part of the present invention to provide nasal pharyngeal apparatus which includes a pair of like tubes 29 of rigid construction which extend in spaced. parallel relationship transversely of cylindrical member 10 at a point intermediate itslength. As shown to advantage in FIG. 3, tubes 29 are flush with the peripheral wall of cylindrical: member 10 at one side I thereof, and extend through the wall and beyond for a substantial distance at the opposite side thereof. There is thereby provided a cylindrical bore 30 in each tube through which a nasal catheter 32 extends, which tube,

is freely movable within each tube 29; An aspirator'33 of conventional construction is connected to a terminal of tube 29. Referring to FIG. 3, it will be seen that the outer terminal of each tube 29; is reduced at 34 to'facilitate frictional engagement with a nostril plug 36.

Nostril plug 36 is preferably made of a flexible material such as rubber and includes a body portion 38 of generally conical contour for engagement with nostrils of varying size and shape. One terminal of body 38 in FIG. 8, and generally is extended at 40 for frictional engagement with reduced portion 34 of tube 29. Plug 36 is provided with a longitudinal bore 42 through which tube 32 extends.

It will be further noted that plugs 36 are spaced apart, thereby permitting insertion thereof in the nostrils, the space between the plugs accommodating the septum of the nose. When properly inserted, an airtight seal is effected.

In FIG. 8, there is illustrated the application of the device of the present invention to a human being wherein a conventional resuscitating supply source 44 is provided with a demand valve 46, both of conventional construction, the demand valve being in turn detachably engaged with universal adapter 14. Altematively, resuscitation may be effected by a mouth-tomount method.

In use of the present device, the device is inserted into the mouth with the arcuate flattened tube 20 extending down the throat and lip seal 22 fitted in between the lips and the teeth. Nostril plugs 36 may then be inserted in place, thereby permitting insertion of tubes 29 into the nasal-pharyngeal tract, leading to the digestive tract.

For aspiration of the oropharyngeal tract, tube 27 is inserted through orifice 26, cylindrical member and flattened tube down the throat.

The apparatus of the present invention is then capable of performing a resuscitating function by operation of apparatus 16-. Additionally, an aspirating operation may be carried out either simultaneously or selective,

aspiration of the nasal pharyngeal tract being effected by operation of aspirator 33 and aspiration of the oropharyngeal tract being accomplished by actuation of aspirator 28. The aspirating procedures do not inter-. fere with the resuscitating procedure or with each other.

With The apparatus of the present invention, simple and economic means, requiring a minimum of inexpensive parts, are employed. By providing means for carrying out resuscitation and aspiration simultaneously, improved medical aid can be given without switching from one type of apparatus for resuscitation and another for aspiration.

While there has been herein shown and described the presently preferred form of the present invention, it is to be understood that such has been done for purposes of illustration only, and that various changes may be made within the scope of the claims hereto appended.

What I claim is:

l. A combination resuscitating, aspirating and gastric draining apparatus comprising:

a. an elongated tubular body having a longitudinal air passageway,

- b. a first aspirating member extending through the air passageway and adapted for placement down the I throat of the person being treated,

c. aspirating supply means engaged with said aspirating member,

d. resuscitating supply means connected to said elongated tubular body and in communication with the longitudinal air passageway,

e. a second aspirating member extending transversely through said tubular body and adapted for insertion into the nostril of the person being treated, and

f. a second aspirating supply means in engagement with said second aspirating member andoperable independently of said resuscitating and aspirating supply means for selectively resuscitating or aspirating the person being treated.

2. The combination resuscitating aspirating and gastric draining apparatus of claim 1 wherein a. said first aspirating member comprises a tubular member extending longitudinally through a substantial portion of the air passageway of said body member and adapted for placement down the throat of the person being treated.

3. The combination resuscitating, aspirating and gastric draining apparatus of claim 1 wherein a. said second aspirating member comprises at least one tubular member extending transversely through, and supported by, said body member,

b. said tubular member being adapted to be inserted into a nostril and through the nasal pharyngeal tract of the person being treated.

4. The combination resuscitating, aspirating and gastric draining apparatus of claim 3, with the addition of a. a second tubular member extending transversely through, and supported by, said body member in spaced, parallel relation to the first tubular member,

b. said second tubular member being adapted to be inserted in the other nostril of the person being treated.

5. The combination resuscitating, aspirating and gastric draining apparatus of claim 1, with the addition of:

a. a flat arcuate tube secured to one end of said tubular body in communication with the longitudinal air passageway thereof,

b. said fiat arcuate tube having an air passageway extending therethrough,

c. said first aspirating member extending through the air passageway of said flat arcuate tube and adapted to be placed down the throat of the person being treated, and

d. a lip seal extending outwardly from the outer.

completely across the air passageway of said tubular body, f. a nasal pharyngeal tube extending through said tubular support member adapted for insertion into a nostril of the person being treated, and g. aspirating supply means in engagement with said nasal pharyngeal tube and operable independently of said resuscitating means for selectively resuscitating and/or aspirating the person being treated.

7. The combination resuscitating, aspirating and gastric draining apparatus of claim 6, wherein a. one terminal of said tubular support member extends beyond the outer periphery of said tubular body a predetermined distance, and

b. a nostril plug fitted on the extended terminal of said support member and adapted for insertion into a nostril of the person being treated,

c. said nostril plug having a longitudinal bore through which said nasal pharyngeal tube passes.

8. The combination resuscitating, aspirating and gastric draining apparatus of claim 7, wherein a. said nostril plug is of flexible construction and the outer surface thereof is of irregular shape for adaptation to nostrils of varying size and shape.

9. The combination resuscitating, aspirating and gastric draining apparatus of claim 7, with the addition of a. a second tubular support member extending transversely across the air passageway of said tubular body in spaced, parallel relation to the first tubular support member,

b. a second nasal pharyngeal tube extend-through said second tubular support member,

c. one terminal of said second tubular support member extending beyond the outer periphery of said tubular body a predetermined distance, and

d. a second nostril plug fitted on the extended terminal of said support member adapted for insertion into the other nostril of the. person being treated,

c. said nostril plug having a longitudinal bore through which said nasal pharyngeal tube passes.

10. A combination resuscitating, aspirating and gastric draining apparatus comprising:

a. a cylindrical member having an air passageway extending therethrough,

b. resuscitating means connected to one end of said cylindrical member,

c. a wall at the opposite end of said cylindrical member,

. a flat arcuate tube secured to the external face of said wall and having an air passageway extending therethrough,

e. said wall being provided with a slot to effect communication between the air passageways of said cylindrical member and flat arcuate tube,

f. a lip seal extending outwardly from the outer periphery of said cylindrical member adjacent said wall,

. a flexible tube inserted through the wall of said cylindrical member at a point adjacent said resuscitating means,

h. said flexible tube extending through the air passageways of said cylindrical member and flat arcuate tube,

i. aspirating means connected to said flexible tube adjacent said cylindrical members,

j. a pair of like tubes txtending in spaced, parallel relationship transversely through said cylindrical member extending a point intermediate its length,

k. a nasal catheter extending through each of said tubes,

1. nostril plugs engaged with said tubes at one end thereof and m. asplratmg means in engagement with one end of said nasal catheters. 

1. A combination resuscitating, aspirating and gastric draining apparatus comprising: a. an elongated tubular body having a longitudinal air passageway, b. a first aspirating member extending through the air passageway and adapted for placement down the throat of the person being treated, c. aspirating supply means engaged with said aspirating member, d. resuscitating supply means connected to said elongated tubular body and in communication with the longitudinal air passageway, e. a second aspirating member extending transversely through said tubular body and adapted for insertion into the nostril of the person being treated, and f. a second aspirating supply means in engagement with said second aspirating member and operable independently of said resuscitating and aspirating supply means for selectively resuscitating or aspirating the person being treated.
 2. The combination resuscitating aspirating and gastric draining apparatus of claim 1 wherein a. said first aspirating member comprises a tubular member extending longitudinally through a substantial portion of the air passageway of said body member and adapted for placement down the throat of the person being treated.
 3. The combination resuscitating, aspirating and gastric draining apparatus of claim 1, wherein a. said second aspirating member comprises at least one tubular member extending transversely through, and supported by, said body member, b. said tubular member being adapted to be inserted into a nostril and through the nasal pharyngeal tract of the person being treated.
 4. The combination resuscitating, aspirating and gastric draining apparatus of claim 3, with the addition of a. a second tubular member extending transversely through, and supported by, said body member in spaced, parallel relation to the first tubular member, b. said second tubular member being adapted to be inserted in the other nostril of the person being treated.
 5. The combination resuscitatiNg, aspirating and gastric draining apparatus of claim 1, with the addition of: a. a flat arcuate tube secured to one end of said tubular body in communication with the longitudinal air passageway thereof, b. said flat arcuate tube having an air passageway extending therethrough, c. said first aspirating member extending through the air passageway of said flat arcuate tube and adapted to be placed down the throat of the person being treated, and d. a lip seal extending outwardly from the outer periphery of said tubular body.
 6. A combination resuscitating, aspirating and gastric draining apparatus comprising: a. an elongated tubular body having a longitudinal air passageway, b. an ororpharyngeal tube extending longitudinally through a substantial portion of the air passageway of said tubular body and adapted for placement down the throat of the person being treated, c. aspirating supply means engaged with said oropharyngeal tube, d. resuscitating supply means connected to said elongated tubular body and in communication with the longitudinal air passageway, e. at least one tubular support member extending transversely through said tubular body and completely across the air passageway of said tubular body, f. a nasal pharyngeal tube extending through said tubular support member adapted for insertion into a nostril of the person being treated, and g. aspirating supply means in engagement with said nasal pharyngeal tube and operable independently of said resuscitating means for selectively resuscitating and/or aspirating the person being treated.
 7. The combination resuscitating, aspirating and gastric draining apparatus of claim 6, wherein a. one terminal of said tubular support member extends beyond the outer periphery of said tubular body a predetermined distance, and b. a nostril plug fitted on the extended terminal of said support member and adapted for insertion into a nostril of the person being treated, c. said nostril plug having a longitudinal bore through which said nasal pharyngeal tube passes.
 8. The combination resuscitating, aspirating and gastric draining apparatus of claim 7, wherein a. said nostril plug is of flexible construction and the outer surface thereof is of irregular shape for adaptation to nostrils of varying size and shape.
 9. The combination resuscitating, aspirating and gastric draining apparatus of claim 7, with the addition of a. a second tubular support member extending transversely across the air passageway of said tubular body in spaced, parallel relation to the first tubular support member, b. a second nasal pharyngeal tube extend-through said second tubular support member, c. one terminal of said second tubular support member extending beyond the outer periphery of said tubular body a predetermined distance, and d. a second nostril plug fitted on the extended terminal of said support member adapted for insertion into the other nostril of the person being treated, e. said nostril plug having a longitudinal bore through which said nasal pharyngeal tube passes.
 10. A combination resuscitating, aspirating and gastric draining apparatus comprising: a. a cylindrical member having an air passageway extending therethrough, b. resuscitating means connected to one end of said cylindrical member, c. a wall at the opposite end of said cylindrical member, d. a flat arcuate tube secured to the external face of said wall and having an air passageway extending therethrough, e. said wall being provided with a slot to effect communication between the air passageways of said cylindrical member and flat arcuate tube, f. a lip seal extending outwardly from the outer periphery of said cylindrical member adjacent said wall, g. a flexible tube inserted through the wall of said cylindrical member at a point adjacent said resuscitating means, h. said flexible tube extending through the air passageways of said cylindrical member and flat arcuate tube, i. aspirating means connected to said flexible tube adjacent said cylindrical members, j. a pair of like tubes txtending in spaced, parallel relationship transversely through said cylindrical member extending a point intermediate its length, k. a nasal catheter extending through each of said tubes, l. nostril plugs engaged with said tubes at one end thereof, and m. aspirating means in engagement with one end of said nasal catheters. 